Ostomy Care

Question 1

Ostomy types

Answer 1

• Colostomy: colon, feces
• Illeostomy: liquid from small intestines
• Urostomy: waste from ureter tubes

Question 2

Ostomy Feces types

Answer 2

• Ascending colon: Fluid to Semifluid feces
• Transverse colostomy: Mushy feces
• Descending Colostomy: Semi-mushy to solid feces
• Sigmoid colostomy: solid (formed) feces

Question 3

Steps 1-2

Answer 3

1. Remove ostomy belt (if patient has this type of device
2. Hold skin taut and peel off the ostomy appliance from the top, gently pushing through skin away from the skin barrier portion if the appliance

Question 4

Steps 3-4

Answer 4

3. Place appliace in bed pan
4. Wipe away any feces in the stoma and around the stoma gently with toilet paper and place toilet paper in bed pan

Question 5

Steps 5-6

Answer 5

5. Place gauze over the stoma in case any stool comes out while performing care
6. Take the bed pan to the bathroom and dispose if it’s contents and your gloves
   6.5. Document amount and consistency
   6.6. Perform hand hygiene

Question 6

Steps 7-8

Answer 6

7. Return to the patient with a basin of WARM water (40.5 C - 43.3 C, 104 F - 109.94 F)
8. Remove gauze and wash skin around the stoma with plain water. Rinse and dry the area thoroughly

Question 7

Steps 9-10

Answer 7

9. Apply skin adhesive if it is necessary with the type of system the patient has
10. Place a clean ostomy belt on patient (if that’s what’s being used)

Question 8

11-12

Answer 8

11. Check the opening of the new appliance to make sure it is the right size
12. Peel off the backing from the skin protectant wafer (* Cut 1/16th larger than the circumfrance of the stoma) and center of the opening around the stoma, * MAKE SURE to hold for 1-2 minutes, create tight seal

Question 9

Steps 13-14

Answer 9

13. Fold the bottom patch up, clamp the bag, and depend on type that is used
14. Make sure the patient is comfortable, discard supplies, remove gloves and perform hand hygiene